HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED

HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 10-year-old child has undergone a cardiac catheterization through the left femoral
v v v v v v v v v v v


artery. During a postprocedural assessment, the nurse finds the left foot is pulseless
v v v v v v v v v v v v v


and cool to touch. Which is the likely cause?
v v v v v v v v v


A. hemorrhage
v


B. hematoma
v v


C.
v


fasciculation
v


D. tamponade - and. hematoma
v v v v


Cardiac catheterization is a routine diagnostic procedure; however, it is not without
v v v v v v v v v v v


risks. Loss of pulse in the catheterized extremity is likely due to a hematoma and
v v v v v v v v v v v v v v v


requires immediate intervention to restore circulation.
v v v v v v




A 10-year-old client with a recent history of playing in the woods presents to the school
v v v v v v v v v v v v v v v


nurse's clinic with localized skin eruptions on the hands and feet which are streaked,
v v v v v v v v v v v v v v


consisting of blisters discharging clear fluid that are painful and itchy. What should the
v v v v v v v v v v v v v v


school nurse suspect to be the causative agent?
v v v v v v v v


A. sunburn
v


B. poison ivy
v v v


C. insect
v v


bite D. heat
v v v


rash
v


Contact with the oil called "Urushiol" which is found in poison ivy, oak and sumac may
v v v v v v v v v v v v v v v


produce an allergic reaction. Symptoms include localized, streaked, or oozing blisters.
v v v v v v v v v v v


These skin lesions are usually painful and itchy. - ans
v v v v v v v v v v




A 10-year-old client with asthma arrives at an urgent care clinic with apparent bronchial
v v v v v v v v v v v v v


constriction. Which class of drugs should the nurse expect to be administered for this
v v v v v v v v v v v v v v


condition?
v


A. methylxanthines
v


B. anticholinergic
v v


C. long-acting beta2 agonists
v v v


D. oral corticosteroids - ansD. oral corticosteroids
v v v v v v


Corticosteroids are fast-acting anti-inflammatory drugs. They are used to treat reversible
v v v v v v v v v v


airflow obstruction, control symptoms, and reduce bronchial constriction with the fewest
v v v v v v v v v v v


side effects.
v v




A 12-month-old client is being discharged with a body spica cast. Which information
v v v v v v v v v v v v


should the nurse include in the parents' discharge teaching plan?
v v v v v v v v v v


A. foul odor from cast may indicate infection or skin
v v v v v v v v v


breakdown B. pillows should not be placed under cast
v v v v v v v v v


C. the child can safely transported in a stroller
v v v v v v v v


D. use pillows to elevate the child's head - ansA. foul odor from cast may indicate
v v v v v v v v v v v v v v v


infection or skin breakdown
v v v v


Care of a child in a body spica cast can be challenging for parents at home. Skin under
v v v v v v v v v v v v v v v v v


the cast should be protected from injury and debris, so parents should be instructed
v v v v v v v v v v v v v v


that a foul odor from the cast can be indicative of skin breakdown or infection and to
v v v v v v v v v v v v v v v v v


contact their health care provider.
v v v v v

,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 12-year-old athlete reports severe ankle pain and an audible "popping" sound in the
v v v v v v v v v v v v v


ankle after a fall at soccer practice. The nurse upon inspection observes moderate
v v v v v v v v v v v v v


swelling, bruising, and joint instability. Initial radiographs of the ankle appear normal.
v v v v v v v v v v v v


Which type of injury should the nurse suspect?
v v v v v v v v


A. strain
v


B. sprain
v v


C.
v


fracture
v


D. dislocation - ansB. Sprain
v v v v


The ankle is a common site for sprain injuries. Ankle sprains can range from mild (grade
v v v v v v v v v v v v v v v


1) to severe (grade 3), with complete tearing of a ligament in the most severe sprains. A
v v v v v v v v v v v v v v v v v


"popping" sound is likely an indication of a partial or complete ligament tear; joint
v v v v v v v v v v v v v v


instability may be detected at the end-ranges of passive motion.
v v v v v v v v v v




A 15-year-old client presents with a lump and persistent pain in the right upper
v v v v v v v v v v v v v


thigh area, and is subsequently diagnosed with a high-grade osteosarcoma. The
v v v v v v v v v v v


nurse should anticipate which plan of treatment for this client?
v v v v v v v v v v


A. hot/cold topical applications
v v v


B. amputation of the limb
v v v v v


C. electrical stimulation therapy
v v v


D. prolonged immobilization - ansB. amputation of the limb
v v v v v v v v


Osteosarcoma is the most common bone cancer in childhood and considered one of the v v v v v v v v v v v v v


most fatal. Treatment generally includes chemotherapy and amputation of the affected
v v v v v v v v v v v


limb. As of today, there is no meedical set plan of care.
v v v v v v v v v v v v




A child diagnosed with HIV is being enrolled in a new school. Who has the right to
v v v v v v v v v v v v v v v v


inform the school of this child's HIV status?
v v v v v v v v


A. doctors or nurses
v v v


B. social workers
v v v


C. parents or legal guardians
v v v v


D. child welfare department - ansC. parents or legal guardians
v v v v v v v v v


Confidentiality is a major issue in school attendance. The parents or legal guardians
v v v v v v v v v v v v


have the right to decide whether or not to inform the school of their child's HIV status.
v v v v v v v v v v v v v v v v v




A child has been diagnosed with chicken pox and the nurse teaches the parent not to
v v v v v v v v v v v v v v v


give the child aspirin. Which condition may result when a child with chickenpox is given
v v v v v v v v v v v v v v v


aspirin?
v


A. Reye's syndrome B.
v v v


Huntingtons disease c.
v v v


Raynaud syndrome
v v


D. purpura disorder - ansA. reye's syndrome
v v v v v v


Reye's syndrome is a rare, but serious condition that causes brain and liver damage
v v v v v v v v v v v v v


that has been linked with aspirin use in children, when given to treat a viral infections,
v v v v v v v v v v v v v v v v


such as chicken pox. Reye's syndrome can be prevented by avoiding the use of aspirin
v v v v v v v v v v v v v v v


in children.
v v

,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A child is admitted with a diagnosis of suspected acute lymphoblastic leukemia (ALL).
v v v v v v v v v v v v


Which test is performed to confirm this diagnosis of childhood leukemia?
v v v v v v v v v v v


A. cerebral spinal fluid analysis
v v v v


B. bone marrow aspiration
v v v v


C. CBC v


D. genetic testing - ansB. bone marrow aspiration
v v v v v v v


ALL is a form of cancer in which high numbers of abnormal white blood cells are
v v v v v v v v v v v v v v v


produced. A bone marrow biopsy that reveals primary blast cells is confirmation of a
v v v v v v v v v v v v v v


leukemia.
v




A child is brought to the emergency department after ingesting a large amount of
v v v v v v v v v v v v v


household drain cleaner. Which is the nurse's first priority when caring for this client?
v v v v v v v v v v v v v v


A. perform NG suctioning
v v v v


B. Assess and maintain an open airway
v v v v v v


C. give small amounts of water to
v v v v v v v


ingest
v


D. Obtain chest and abdomen radiographs - ansB. assess and maintain an open airway
v v v v v v v v v v v v v


Ingestion of corrosive household agents may cause airway obstruction due to rapidly
v v v v v v v v v v v v


developing laryngeal edema. The first priority is to assess and monitor the client's
v v v v v v v v v v v v v


airway.
v




A child recently underwent cardiac surgery and is admitted with a suspected diagnosis
v v v v v v v v v v v v


of infective endocarditis. Which presentation should the nurse expect when assessing
v v v v v v v v v v v


this client?
v v


A. bradycardia, lethargy, speech disturbances v v v


B. high fever, irregular movement of joints, involuntary facial grimaces c.
v v v v v v v v v


tachycardia, chest pain, swollen and painful joints
v v v v v v v


D. low grade fever, anorexia, splinter hemorrhages under the nails - ansD. low grade
v v v v v v v v v v v v v


fever, anorexia, splinter hemorrhages under the nails
v v v v v v v


Children who undergo cardiac surgery are at higher risk for infection. Common clinical
v v v v v v v v v v v v


signs and symptoms of infective endocarditis are unexplained fever (low-grade and
v v v v v v v v v v v


intermittent), anorexia, malaise, and splinter hemorrhages under the nails
v v v v v v v v v




A child with severe burns begins to exhibit decreased level of consciousness and
v v v v v v v v v v v v


lethargy four days after being admitted to the burn unit. The nurse's assessment
v v v v v v v v v v v v v


reveals a low-grade fever, but the client's other vital signs are stable. The nurse should
v v v v v v v v v v v v v v v


be alert for which potential complication?
v v v v v v


A. respiratory
v


failure B.
v v


dehydration
v


C. sepsis
v


D. hypovolemia - ansC. sepsis
v v v v


Dead tissue and exudate associated with burned skin provides a fertile field for bacterial
v v v v v v v v v v v v v


growth. If the burn site is contaminated with infectious material, sepsis may occur.
v v v v v v v v v v v v v


Decreased level of consciousness and lethargy are early signs of sepsis.
v v v v v v v v v v




A five-year-old client who had been prescribed amoxicillin, presents to the clinic with
v v v v v v v v v v v v


urticaria. Which medication is recommended for initial treatment of this condition?
v v v v v v v v v v v

, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A. epinephrine
B. diphenhydramine
C. ibuprofen
v v


D. doxepin - ansB. diphenhydramine
v v v v


Medications are a common cause of anaphylaxis in children. Acute urticaria, also known
v v v v v v v v v v v v


as hives, is a skin reaction common side effect associated with amoxicillin. First-line
v v v v v v v v v v v v v


treatment consists administration of an antihistamines, such as diphenhydramine orally,
v v v v v v v v v v


followed by hydrocortisone topically dependent upon the severity of the urticaria.
v v v v v v v v v v v




A mother brings in a three-year-old child who has respiratory rate of 36 breathes per
v v v v v v v v v v v v v v


minute; heart rate of 160 beats per minute; weaken and thready pulse; and pale and
v v v v v v v v v v v v v v v


sweaty skin. The nurse suspects the child is going into shock which action should the
v v v v v v v v v v v v v v v


nurse perform first?
v v v


A. obtain ABG's
v v


B. obtain vitals
v v v


C. administer
v v


O2
v


D. Establish IV access - ansC. Administer oxygen
v v v v v v v


When providing care to a child in shock, the nurse's priority is to ensure adequate
v v v v v v v v v v v v v v


oxygenation. The nurse should administer oxygen or provide assistance in establishing
v v v v v v v v v v v


an airway. The best way to remember the order of priority of care to be given is the
v v v v v v v v v v v v v v v v v v


"ABCs"; airway, bleeding and circulation
v v v v v




A nurse has obtained a weight of 17.6 pounds (8 kg) for a 15-month-old child. The
v v v v v v v v v v v v v v v


child's ideal body weight is 26.4 pounds (12 kg). How should be the nurse interpret this
v v v v v v v v v v v v v v v v


body weight?
v v


A. normal variation
v v


B. mild wasting
v v v


C. moderate wasting
v v


D. severe wasting - ansD. severe wasting
v v v v v v


This child has a body weight 66% less than the ideal body weight for this age (15
v v v v v v v v v v v v v v v v


months). A body weight less than 70% of the ideal body weight is defined as severe
v v v v v v v v v v v v v v v v


wasting.
v




A nurse is assessing a three year old diagnosed with psoriasis. Which is a common
v v v v v v v v v v v v v v


treatment for most forms of psoriasis?
v v v v v v


A. exfoliation
v


B.
v


cyrotherapy
v


C. oral antibiotics
v v


D. phototherapy - ansD. phototherapy
v v v v


All types of psoriasis commonly respond to topical creams and phototherapy (ultraviolet
v v v v v v v v v v v


light exposure) when administered 3 to 5 times a week.
v v v v v v v v v v




A pediatric client is admitted with sepsis and a high-grade fever following an episode of
v v v v v v v v v v v v v v


gastritis. The nurse's assessment reveals cool skin; normal pulse and blood pressure;
v v v v v v v v v v v v


decreased urinary output; and a diminished mental state. Which term describes this
v v v v v v v v v v v v


stage of septic shock?
v v v v